Jan Allen Dewitt, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

33357 Issued in KY

Practice address

109 Land Oak Rd
Knoxville, TN 37922-2011

Phone

(865) 777-1300

NPI assigned

Jul 4, 2006

Last updated

Dec 14, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cah Acquisition Company 11 LLC

  dba Lauderdale Community Clinic

  • Surgery Physician
  • Ripley, TN
  • NPI 1588911986
  NPD (past)
• Copper Basin Community Hospital Inc.

  dba Ed Copper Basin Medical Center

  • Emergency Medicine Physician
  • Copperhill, TN
  • NPI 1437203155
  NPD (past)
• Northwest Tennessee Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Somerville, TN
  • NPI 1760628762
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1154351971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 QUAIL DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LAND OAK RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222011",
            "telephone_number": "865-777-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "JAN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "WV",
            "license": "21904",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "21904",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "33357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64039050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devoted Support
• Chalea Devotie
• William Dewalt
• Wendy S Dewberry, APRN
• James E Deweese, PA-C
• Courtney Briana Dey, M.D.
• Aaron James Deyo, MD
• Travis Deyton
• Sagar V Dhanawade, FNP-C
• Rajiv Dhand, MD

• Emergency Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.